A nurse in an acute mental health center is performing a physical assessment on a client. Which of the following findings should the nurse document under the integumentary system? (Select all that apply.)
Numbness
Skeletal deformities
Alopecia
Ecchymosis
The Correct Answer is A
A. Transference: Transference occurs when a client projects feelings about someone from their past onto the therapist or nurse. The client’s feelings about the nurse being similar to their mother fit this description.
B. Confrontation: Confrontation involves addressing discrepancies or issues directly, which is not the focus here. The situation described is about the client’s feelings towards the nurse.
C. Countertransference: Countertransference occurs when a nurse or therapist has emotional reactions based on their own past experiences, not the client’s feelings about the nurse.
D. Incongruence: Incongruence refers to a mismatch between a person's experiences and their self-concept. The situation described involves the client's feelings toward the nurse rather than incongruence.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Maturational: Maturational crises occur during life transitions or developmental stages, such as adolescence or retirement. The client’s response to a sudden loss does not fit this category.
B. Adventitious: Adventitious crises are caused by unexpected or external events, such as natural disasters or violent incidents. The sudden death of a partner fits this category, as it is an unexpected and external event impacting the client’s life.
C. Developmental: Developmental crises involve issues related to developmental stages and transitions. The client’s reaction to a sudden death is not related to developmental stages but rather to an unexpected loss.
D. Situational: Situational crises arise from specific, often unexpected events that disrupt an individual’s life, such as job loss or sudden illness. The sudden death of a partner is more accurately described as an adventitious crisis rather than a situational crisis.
Correct Answer is B
Explanation
A. Thought content: Thought content refers to the subject matter of what a person is thinking about, such as the presence of delusions or obsessions, but not necessarily whether their thoughts are logical.
B. Thought process: Thought process involves the way thoughts are organized and connected. Assessing if ideas are logical and make sense pertains to the thought process.
C. Memory: Memory pertains to the ability to recall information, not the logical consistency of thought processes.
D. Sensorium: Sensorium relates to the state of consciousness and awareness, not the logical structure of thoughts.
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